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Chunk #31 — Methods — Study population

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Combined analysis of circulating β-endorphin with gene polymorphisms in OPRM1, CACNAD2 and ABCB1 reveals correlation with pain, opioid sensitivity and opioid-related side effects.
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Eighty patients with low back pain, who were scheduled for lumbar fusion surgery and had been investigated for opioid sensitivity, and 56 healthy volunteers were recruited for the study. The patient group comprised 39 men and 41 women with a mean age of 46.2 (25–66) years. The inclusion criteria were patients with chronic low back pain for more than 6 months on the waiting list for spinal fusion surgery. Age over 18 and ability to understand written and spoken Swedish was required. The patients were all scheduled for lumbar spinal fusion surgery after having performed diagnostic MR indicating degenerative disc disease, identification of diseased lumbar segment with discography and a clinical and neurological investigation by the orthopedic surgeon. At the time for the remifentanil study the pain of the patient was graded by visual analogue scale 0–100 mm. To be included in this study the patients were required to grade a minimum of 40 mm on this scale. The exclusion criteria were significant comorbidity that would preclude the planned operation. The control group consisted of 25 men and 31 women